Performance Report Cards Not Effective in Reducing Trauma Mortality

Nonpublic report cards did not effectively reduce in-hospital trauma mortality rates, according to a study published in JAMA Surgery.

Researchers gave participating hospitals benchmarking reports of their trauma risk-adjusted mortality rates using data from the National Trauma Data Bank. The data show the adjusted mortality rates for all patients remained stable before and after administering the report cards, at about 4.1 percent.

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Data stratified by mechanisms of trauma and high and low risk patients also found the mortality rates did not significantly change after hospitals received report cards.

Researchers suggest other forms of quality intervention used in conjunction with nonpublic reporting might improve trauma outcomes, such as financial incentives and efforts to identify and implement best practice strategies.

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